Sonshine Ambulatory Care Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS8310 Issued in FL

Legal business name

SONSHINE AMBULATORY CARE CENTER

Practice address

1405 SE Goldtree Dr
Suite # C
Port St Lucie, FL 34952-7563

Phone

(772) 380-0900

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Loretha King, D.O.

Title

Physician/Owner

Phone

(772) 308-0900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336187988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR",
            "address_2": "SUITE # C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-380-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR",
            "address_2": "SUITE # C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-380-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONSHINE AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LORETHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-308-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS8310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• South Florida Counseling and Case Management, LLC

• General Practice Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.